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FIR2021-0009+Application+1.25.2021_6.57.06_AM+2006216RECEIVED Jan 25 2021 FIR2021-0009 - CITY OF EDMONDS DEVELOPMENT SERVICES CITY OF EDMONDS MyBtaildingPermit.com DEPARTMENT Fire Application #912617 - HD1099 Helleren Applicant First Name Last Name Company Name chris hynek HD Partners Number Street Apartment or Suite Number E-mail Address 1535 NW 49th St. office(@_hdpartners.net City State Zip Phone Number Extension seattle WA 98107 2067185646 Contractor Company Name HD Partners Number Street Apartment or Suite Number 1535 nw 49th St. City State Zip Phone Number Extension Seattle WA 98107 (206) 718-5646 State License Number License Expiration Date UBI # E-mail Address HDPARPL807DD 3/4/2022 603396393 off ice(a�hdpartners.net Project Location Number Street Floor Number Suite or Room Number 8912 192ND ST SW City Zip Code County Parcel Number EDMONDS 98026 27041800303700 Associated Building Permit Number Tenant Name BLD2020-0412 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Gaetan R & Binder Deborah J Veilleux Number Street Apartment or Suite Number 8816 207TH PL SW City State Zip EDMONDS WA 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 1/25/2021 Submitted By: Chris hynek Page 1 of 2 i CITY OF EDMONDS MyBoi[di ngPerrnit.com Fire Application #912617 - HD1099 Helleren Project Contact Company Name: Name: Address: Nick Hansen 1535 nw 49th St Seattle WA 98107 Project Type Single Family Residential Email: nick@hdpartners.net Phone #: 2067192805 Activity Type Scope of Work New Fire Sprinkler Systems Project Name: HD1099 Helleren Description of Work: Install new 13D fire protection system Project Details Fire System Type NFPA 13D Page 2 of 2